Pilocytic astrocytoma:
- well circumscribed, often cyst with mural nodule
- Usually peds
- Cerebellum, hypothalamus, optic nerve (in NF-1)
- WHO grade I
- Prognosis varies greatly depending on resectability, which depends on location
- Biologically distinct from the diffuse/infiltrating astrocytomas (grade II, III, IV)
- 17q loss, BRAF mutations
- Biologically distinct from the diffuse/infiltrating astrocytomas (grade II, III, IV)
- 17q loss, BRAF mutations
- Path
- variation between loose pale areas, dense pink areas.
- bipolar spindled cells with hair-like processes. fibrillary background
- Rosenthal fibers - glassy pink deposits of GFAP, a protein produced by astrocytes
Imaging:
hypothalamus
optic nerve
classic cerebellar
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